Bronx Community Medicine, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

266860 Issued in NY

Legal business name

BRONX COMMUNITY MEDICINE, PLLC

Practice address

2676 Grand Concourse # a
Bronx, NY 10458-4914

Phone

(718) 708-4040

Fax

(718) 708-6040

NPI assigned

May 1, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Yohanna Maria Olivo MercedesNPI 1639346869

Title

MD

Phone

(347) 204-3437

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EACGCA

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yohanna Maria Olivo Mercedes, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1639346869
  Medicare reassignment NPD Authorized official
• Vincent Turover Brandeis, M.D.

  • Reproductive Endocrinology Physician
  • Woodside, NY
  • NPI 1215053962
  Medicare reassignment NPD
• Ashley Marie Cardona, FNP-BC

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1225700982
  Medicare reassignment NPD
• Angela Marizol Castillo

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1528682770

  Single Specialty

  Medicare reassignment NPD
• Sophia Lubin, D.O.

  • Obstetrics & Gynecology Physician
  • Bronx, NY
  • NPI 1659526085
  Medicare reassignment NPD
• Nathalie Toribio, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1235747684
  Medicare reassignment NPD
• Walter Xavier Zavala-Salas, RPA-C

  • Physician Assistant
  • New York, NY
  • NPI 1689034654
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1942645247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2676 GRAND CONCOURSE",
            "address_2": "A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584914",
            "telephone_number": "718-708-4040",
            "fax_number": "718-708-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2676 GRAND CONCOURSE # A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584914",
            "telephone_number": "718-708-4040",
            "fax_number": "718-708-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX COMMUNITY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "OLIVO MERCEDES",
        "authorized_official_first_name": "YOHANNA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "347-204-3437",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "266860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "268781YH9B.",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100097539",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0333794",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003250800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bronx Community Dental Care PC
• Bronx Community Dental, PLLC
• Bronx Community Health Network
• Bronx Community Home Care, Inc. (Neighbors Home Care)
• Bronx Community Medicine Integrated Care PLLC
• Bronx Community Pharmacy (Bronx Care Pharmacy Inc)
• Bronx Community Wellness Center, Inc
• Bronx Comprehensive Hematology-Oncology, PLLC
• Bronx Comprehensive Hematology-Oncology, PLLC
• Bronx Counseling Center LLC

• Primary Care Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.